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General NPI Number Information
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NPI Number | 1376142448
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Entity Type | Individual
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Provider Name | JESSICA ROSE SANCHEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 3010 E GRIMES ST APT 15
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City | HARLINGEN
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State | TX
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Zip | 78550-5391
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Country | US
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Telephone | 956-225-6472
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 CHRISTEN CIR
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City | MISSION
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State | TX
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Zip | 78574-2169
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Country | US
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Telephone | 956-225-6472
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 81013
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License Number State | TX
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